* Do You Have Other Applications Made for Fairchild Group for the Past 12 Months?YESNO

EDUCATION

High School

Name:

Date:

Standard reached:

College/University

Name:

Date:

Standard reached:

Others

Name:

Date:

Standard reached:

Language:

* Spoken and Written:

WORKING EXPERIENCE

Name of Company:

Date of Employment:

Postion:

Final Salary:

Reason for Leaving:

Name of Company:

Date of Employment:

Postion:

Final Salary:

Reason for Leaving:

Name of Company:

Date of Employment:

Postion:

Final Salary:

Reason for Leaving:

Name of Company:

Date of Employment:

Postion:

Final Salary:

Reason for Leaving:

DETAILS OF HEALTH

* Have You Any Physical Disabilities?YESNO

If Yes, State What are they and if it is permanent or temporary:

* Are You a Registered Disable Person?YESNO

Registered Number:

Expiration Date:

DECLARATION: ： I certify that my answers are true and complete to the best of my knowledge. A false statement or dishonest answer to any question may result in my immediate release from employment with the Fairchild Group